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@rh_supplies@rhsupplies

The Power of Collaboration: Linking Countries, Procurers, and Manufacturers for Improved Family Planning (FP) Product Availability

7 June 2017

David Sarley, Bill & Melinda Gates Foundation

Maggie Murphy, John Snow, Inc.

Julia White, Reproductive Health Supplies Coalition

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Continuous Improvement Pathway

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Stage 1: Market shaping

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Despite increasing consumption, prices remained high.Demand & supply side factors were evaluated to determine the scope for reducing prices & expanding uptake of implants

Implant Shipments and Price per Implant for LMICs, 2005-2011

0.1 M0.2 M

0.4 M

0.9 M

1.7 M 1.7 M2.0 M

$0

$5

$10

$15

$20

$25

$30

0.0 M

0.5 M

1.0 M

1.5 M

2.0 M

2.5 M

2005 2006 2007 2008 2009 2010 2011

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Imp

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The VG Partners negotiated a 50% price reduction of implants, resulting in procurement savings & making implants one of the most cost-effective methods on a Couple Years of Protection (CYP) basis

$8.50 | 50% reduction in price of Jadelle & Implanon

$300M| Procurement savings over 6 years of agreement

640K |Estimated lives saved over the course of the agreement

Implant Access Program Impact

$7.17

$6.60

$4.74

$4.40

$3.95

$3.40

$2.24

$0.08

OCPs

Implanon (before VG)

Jadelle (before VG)

Injectables

Condoms

Implanon (after VG)

Jadelle (after VG)

IUDs

Cost per CYP by Method

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Problem Statement Discussion: Market Shaping

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Stage 2: The Coordinated Supply Planning group (CSP)

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CSP Success Factors: People, Processes, and Tools

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CSP Advances and Value Proposition

• Platform critical to information sharing to maximize use of donor

resources - striving to address country supply needs in a resource-

constrained environment

• Potential to address other FP-supply related needs/questions

• Used platform to support product transition when manufacturer was

replacing an existing product with an improved product (Implanon to

Nexplanon)

• Experience gave example for new product introduction – CSP

monitoring global supply and orders for introduction of a new,

innovative FP product (Sub-cutaneous DMPA/Sayana® Press)

Continuum of Coordinated Assistance: Preventing Stock Imbalances

CARhs

(short-term)

CSP

(medium-term)ExceptionsOperationsPlanning Exceptions

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CSP: Remaining Barriers and Challenges

Need an improved data sharing platform to automate

processes and streamline decision-making.

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Problem Statement Discussion: CSP

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Stage 3: The Global Visibility Analytics Network

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A Global VAN is a virtual collaborative space where teams use the same data to make supply chain decisions

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A Global VAN is a virtual collaborative space where teams use the same data to make supply chain decisions

But it’s not just

about the Tech!!

Tech

People

Process

Policy

Global Visibility & Analytics Networks

E2E Supply Chain Data Integration

Analytics Engines

CENTRALIZED SUPPLY CHAIN DECISION-MAKING

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Global VAN Conceptual Framework

People Policy

TechnologyProcess

Central Coordination

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Global VAN: Relevant Anticipated Advances

• Common source of “truth”;

improved end-to-end and

simultaneous data visibility

• Reduced manual data flow and

overlap in data management

• Efficiencies and visibility allow:

• Transformation of current

coordinated forecasting and supply

planning processes between

CSP/CARhs, countries and suppliers;

• Expanded product and country

coverage

Success stories like CSP with implants could be replicated for

other products/health areas, leading to more timely and

cost-effective delivery of commodities to countries

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Problem Statement Discussion: Global VAN Vision

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THANK YOU!